- Molina Healthcare (Yonkers, NY)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- WMCHealth (Valhalla, NY)
- …Internal Applicant link Job Details: N4 Supervisor of Nursing/ Nurse Manager - Clinical Care Management Internal ... investigation of the procedures specified in the Clinical Care Management Department through review of the Utilization ...the New York State Education Department, as a Registered Nurse , Training and Experience: either: (a) five years of… more
- Trinity Health (Troy, NY)
- …Friday - Samaritan HospitalIf you are looking for a position in RN (Registered Nurse ) Case Management in a dynamic hospital, this could be your opportunity. ... of experience in acute settingPreferred requirements:1+ year of experience in case management or utilization managementCase Management certification (CCM) or… more
- Molina Healthcare (Albany, NY)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- Mohawk Valley Health System (Utica, NY)
- …+ 3 years of clinical experience. + Strong computer skills. PREFERRED: + Case Management , Utilization Management and Quality Management experience ... Transitional Care RN - Case Management - Full Time - Days Department: CASE MANAGEMENT Job Summary The RN - Transitional Care Coordinator is responsible for… more
- Guthrie (Binghamton, NY)
- …Experience: + Two years of recent clinical supervisory experience or charge nurse experience desired Essential Functions: + RESOURCE UTILIZATION ; Considers ... Manager / Director informed of clinical issues, triage problems, staffing issues, and risk management concerns. Acts on behalf of nurse Manager / Director in… more
- Rochester Regional Health (Rochester, NY)
- …efficient utilization of resources. Carries out activities related to utilization management , discharge planning, care coordination and referral to other ... in daily Huddles, providing ongoing communication to the Charge Nurse and Nurse Manager to address complex...hospital care experience not required. PREFERRED QUALIFICATIONS: + Case Management or Utilization Management experience… more
- Molina Healthcare (Syracuse, NY)
- …services professionals in some or all of the following functions: care management , utilization management , behavioral health, care transitions, long-term ... Essential Job Duties * Assists in implementing health management , care management , utilization management , behavioral health and other program activities… more
- Constructive Partnerships Unlimited (Brooklyn, NY)
- …and Nurse Administrators, works collaboratively and assists in the management of medical care for all individuals served and maintaining appropriate ... various source documents into the computer system for storage, processing and data management purposes. Shift Worked: 9:00 AM-5:00 PM Weekly Hours: 37.5 FLSA Status:… more
- Ellis Medicine (Schenectady, NY)
- …Services discharge planning guidelines and departmental/organizational policies and processes + Utilization Management : + Ensures order in chart/EMR coincides ... the Case Manager include, but are not limited to, utilization review, case management , care transition, collaboration...transition of care with Social Worker + Serves as nurse consultant for Social Worker cases with Clinical or… more